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Elevated Plasma microRNA-206 Levels Predict Cognitive Decline and Progression to Dementia from Mild Cognitive
Aidan Kenny1, Hazel McArdle2, Miguel Calero3,4
1Department of Physiology and Medical Physics, Royal College of Surgeons in Ireland, Dublin D02 YN77, Ireland.
Abstract:
The need for practical biomarkers for early diagnosis of Alzheimer's disease (AD) remains largely unmet. Here we investigated the use of blood-based microRNAs as prognostic biomarkers for AD and their application in a novel electrochemical microfluidic device for microRNA detection. MicroRNA transcriptome was profiled in plasma from patients with mild cognitive impairment (MCI) and AD. MicroRNAs Let-7b and microRNA-206 were validated at elevated levels in MCI and AD, respectively. MicroRNA-206 displayed a strong correlation with cognitive decline and memory deficits. Longitudinal follow-ups over five years identified microRNA-206 increases preceding the onset of dementia. MicroRNA-206 was increased in unprocessed plasma of AD and MCI subjects, detected by our microfluidic device. While increased Let-7b levels in plasma may be used to identify patients with MCI, changes in plasma levels of microRNA-206 may be used to predict cognitive decline and progression towards dementia at an MCI stage. MicroRNA quantification via a microfluidic device could provide a practical cost-effective tool for the stratification of patients with MCI according to risk of developing AD.
Insights
Blood microRNAs show promise as early Alzheimer's disease (AD) biomarkers. MicroRNA-206 levels in plasma can predict cognitive decline and dementia progression in mild cognitive impairment (MCI) patients.
Area of Science:
- Biochemistry
- Neuroscience
- Molecular Biology
Background:
- Early diagnosis of Alzheimer's disease (AD) is crucial but lacks practical biomarkers.
- Blood-based microRNAs offer a potential avenue for non-invasive diagnostic tools.
Purpose of the Study:
- To investigate plasma microRNAs as prognostic biomarkers for AD.
- To develop and utilize an electrochemical microfluidic device for microRNA detection.
Main Methods:
- MicroRNA profiling of plasma from mild cognitive impairment (MCI) and AD patients.
- Validation of specific microRNAs (Let-7b, microRNA-206) using quantitative methods.
- Detection of microRNA-206 in unprocessed plasma via a novel microfluidic device.
Main Results:
- Elevated levels of Let-7b in MCI and microRNA-206 in AD were observed.
- MicroRNA-206 strongly correlated with cognitive decline and memory deficits.
- Increased microRNA-206 levels preceded dementia onset in longitudinal studies.
Conclusions:
- Plasma Let-7b may identify MCI patients.
- Plasma microRNA-206 can predict cognitive decline and progression to dementia in MCI.
- Microfluidic-based microRNA quantification offers a cost-effective tool for patient stratification and risk assessment for AD.
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